NPIMap

Organization Active NPI

Fast Pace Kentucky PLLC

Doing business as Fast Pace Health

  • Rural Health Clinic/Center
  • Somerset, KY
National Provider Identifier
1043093438
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
FAST PACE KENTUCKY PLLC
Doing business as
Fast Pace Health
Practice address
2520 S Highway 27 Ste 1
Somerset, KY 42501-3055
Phone
(606) 416-5719
NPI assigned
Aug 17, 2023
Last updated
Jan 31, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christy Littlejohn
Title
Manager
Phone
(931) 253-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

2520 S Highway 27 Ste 1
Somerset, KY 42501-3055

Mailing address

PO Box 306505
Nashville, TN 37230-6505
Phone (931) 253-1110

Other names 1

  • Fast Pace Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250306002360 KY Part A Provider - Rural Health Clinic 0143525998 Practice locations: Somerset, KY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1043093438. Details of each certification follow.

Rural health clinic certification: CCN B03941

Legal name
FAST PACE KENTUCKY, PLLC
Doing business as
FAST PACE HEALTH
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 5, 2023
Last certification
Dec 5, 2023
Ownership / control type
1B
Organization structure
OtherProprietary
Enrollment address
2520 S Highway 27
Ste 1
Somerset, KY 42501-3055

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D2118737Fast Pace Kentucky PLLC2520 South Highway 27 Ste 1, Somerset, KY 42501Certificate of waiverSep 13, 2026

National Provider Directory

National Provider Directory
Tax ID family
Fast Pace Kentucky PLLC44 organizations share this tax ID, including this one

Other organizations with this tax ID 43

Organizations that report the same tax identification number in the National Provider Directory.

View all 43

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Melissa Harlan Individual Operational/Managerial ControlDirector Jan 1, 2024 100%
Barry Louis Taylor Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
5% Or Greater Direct Ownership InterestOwner Sep 16, 2022 33.33%
Christy Littlejohn Individual Operational/Managerial ControlManager Jan 1, 2024 100%
Karen Denise Daingerfield Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
5% Or Greater Direct Ownership InterestOwner Sep 16, 2022 33.33%
Dana Kay Martin Individual 5% Or Greater Direct Ownership InterestOwner May 1, 2019 33.3%
5% Or Greater Direct Ownership InterestOwner Sep 16, 2022 33.33%
Sydni Clemmons Individual W-2 Managing EmployeeCredentialing Manager Aug 30, 2023

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Change-of-ownership history 2

DateEventCounterparty
Mar 31, 2025 Change of OwnershipThis provider was the buyer First Care ClinicCCN B03941, KY, NPI 1043093438
Mar 31, 2025 Change of OwnershipThis provider was the seller Fast Pace HealthCCN B03941, KY, NPI 1043093438

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738281600000",
    "number": "1043093438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 306505",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372306505",
            "telephone_number": "931-253-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 S HIGHWAY 27 STE 1",
            "city": "SOMERSET",
            "state": "KY",
            "postal_code": "425013055",
            "telephone_number": "606-416-5719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST PACE KENTUCKY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-17",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A",
        "authorized_official_last_name": "LITTLEJOHN",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "931-253-1110"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Pace Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Somerset, KY

Sources for this page

Verify at the official NPI Registry.